...Tub bath taken. Patient able to bathe self, but needed assistance getting in and out of tub. Skin on both legs dry and flaking; patient reports severe itching. Emollient lotion applied after bath. Patient states itching is less now. (Tub Bath or shower) After complete bed bath, provided back massage using pétrissage and friction. Patient reported muscle tension and rated pain a 4 before back massage; reported muscle relaxation and rated pain a 2 after back massage. Skin is moist, pink, and intact with no bruises, swelling, or redness. After back massage, patient’s respirations decreased from 20 to 16 per minute and pulse decreased from 78 to 70 beats per minute. (Back Massage) Complete bed bath given. Patient unable to assist but cooperative with turning. Skin on both legs dry and flaking, complains of severe itching. Bath oil added to bath water. Emollient lotion applied after bath. States itching is less after bath. (Complete or Partial Bed Bath) Perineal care given. Patient unable to assist but cooperative with positioning. No redness, drainage, or open areas noted. Patient complained of mild itching before perineal care. Patient reports reduced itching after perineal care. (Perineal care for Female Pt) Perineal care given. Patient unable to assist but cooperative with positioning. External genitalia show no signs of redness, swelling, or drainage. Indwelling catheter is intact and draining clear amber urine. Patient denies pain but states that he feels...
Words: 5692 - Pages: 23
...Klamath County Community Health Western Governors University Klamath County has many health needs and is at risk for high mortality and morbidity. Heart disease is the leading cause of death followed by cancer and chronic respiratory disease. (The Healthy Communities Institute, 2013). Smoking, obesity, and poor air quality are all contributing factors to these health risks. Also, as the general population continues to age pre-existing medical conditions, chronic health problems and weakened immune systems increase the areas aging population's susceptibility to influenza and pneumonia. However, only 57.8% of adults over 65 received an influenza vaccine in Klamath County (The Healthy Communities Institute, 2013). And unfortunately access to healthcare remains woefully unsatisfactory in the County. Lastly, and most heartbreaking, is that the child abuse rates in Klamath County are among the highest in the state (The Healthy Communities Institute, 2013), while conducting the County Health Survey these three critical areas of concern have become painfully evident. All three issues should be addressed according to the Health People 2020 goals that have been set forth to improve the health and well-being of all Americans (Healthy People 2020, n.d.). WINDSHIELD SURVEY Klamath County, Oregon, is the Southernmost County in the state, boarded by California to the South, the Fremont National Forest to the East, and by the Deschutes National Forest to the North and West. Klamath...
Words: 6288 - Pages: 26
...st r ess in t he wo r k p la ce m eetin g tH e c H Al l en g e about the publication this publication is an adjunct to Health Advocate’s recent webinar “Stress in the Workplace: meeting the challenge” co-sponsored by the national Women’s Health Resource center, the leading independent health information source for women. this white paper offers comprehensive research about the causes and impact of workplace stress, its role in lost productivity and higher healthcare costs and includes the effects of job stress on women workers. the research also reviews successful organizational and individual strategies to help manage stress and reduce costs. Following these strategies can help reduce absenteeism and turnover, help employees better balance work/life responsibilities, and also reduce healthcare costs. about health aDVocate™, inc. Health Advocate, inc., the nation’s leading independent healthcare advocacy and assistance company, serves more than 5,000 clients nationwide, providing more than 15 million Americans with personalized help to resolve healthcare and insurance-related issues. the company offers a spectrum of advocacy, Wellness, Pricing decision Support and Human Resources solutions to help save time and money. the company also offers a direct-to-consumer advocacy service, called Health Proponent ®, to individuals who are not part of groups. For more information, contact Health Advocate (toll-free) at: 1-866-385-8033, prompt #2 or via email at info@HealthAdvocate...
Words: 6469 - Pages: 26
...st r ess in t he wo r k p la ce m eetin g tH e c H Al l en g e about the publication this publication is an adjunct to Health Advocate’s recent webinar “Stress in the Workplace: meeting the challenge” co-sponsored by the national Women’s Health Resource center, the leading independent health information source for women. this white paper offers comprehensive research about the causes and impact of workplace stress, its role in lost productivity and higher healthcare costs and includes the effects of job stress on women workers. the research also reviews successful organizational and individual strategies to help manage stress and reduce costs. Following these strategies can help reduce absenteeism and turnover, help employees better balance work/life responsibilities, and also reduce healthcare costs. about health aDVocate™, inc. Health Advocate, inc., the nation’s leading independent healthcare advocacy and assistance company, serves more than 5,000 clients nationwide, providing more than 15 million Americans with personalized help to resolve healthcare and insurance-related issues. the company offers a spectrum of advocacy, Wellness, Pricing decision Support and Human Resources solutions to help save time and money. the company also offers a direct-to-consumer advocacy service, called Health Proponent ®, to individuals who are not part of groups. For more information, contact Health Advocate (toll-free) at: 1-866-385-8033, prompt #2 or via email at info@HealthAdvocate...
Words: 6482 - Pages: 26
...st r ess in t he wo r k p la ce m eetin g tH e c H Al l en g e about the publication this publication is an adjunct to Health Advocate’s recent webinar “Stress in the Workplace: meeting the challenge” co-sponsored by the national Women’s Health Resource center, the leading independent health information source for women. this white paper offers comprehensive research about the causes and impact of workplace stress, its role in lost productivity and higher healthcare costs and includes the effects of job stress on women workers. the research also reviews successful organizational and individual strategies to help manage stress and reduce costs. Following these strategies can help reduce absenteeism and turnover, help employees better balance work/life responsibilities, and also reduce healthcare costs. about health aDVocate™, inc. Health Advocate, inc., the nation’s leading independent healthcare advocacy and assistance company, serves more than 5,000 clients nationwide, providing more than 15 million Americans with personalized help to resolve healthcare and insurance-related issues. the company offers a spectrum of advocacy, Wellness, Pricing decision Support and Human Resources solutions to help save time and money. the company also offers a direct-to-consumer advocacy service, called Health Proponent ®, to individuals who are not part of groups. For more information, contact Health Advocate (toll-free) at: 1-866-385-8033, prompt #2 or via email at info@HealthAdvocate...
Words: 6469 - Pages: 26
...TAKING LEADERSHIP IN A DIGITAL ECONOMY BY TELSTRA CORPORATION LIMITED AND DELOITTE DIGITAL November 2012 deloittedigital.com.au telstra.com A NOTE FROM DAVID Consumers and businesses are rapidly embracing digital technology and this is redefining the traditional transaction model. We now have a new generation of globally connected consumers and businesses who behave very differently – and we must all adapt to these changes and take advantage of the new opportunities. By the end of the decade we will have connected just about every device to next generation networks, from smartphones and offices of the future, to educational resources and digital home appliances. The changes we are talking about are transformational. Everything, everyone and every place will be connected. This will make us more innovative and more competitive – and change the way we live and work for the better. The challenge ahead is how to best use the tremendous creativity, innovation and capability of Australians to participate in these new opportunities – whether it be m-commerce, Big Data, robotics or social media. Every part of our economy can benefit from this new era of connectivity. Our role, as Australian business leaders, is to help build a 21st century economy that is locally accessible and globally competitive. As a nation, we can lead the world and create positive change. David Thodey Chief Executive Officer Telstra 1 A NOTE FROM GIAM The world is changing. The internet has...
Words: 8332 - Pages: 34
...THIRD EDITI ----- --·-- --·-- - - -- - O N -- SU PP LY CH AI N MA NA GE ME NT Stra tegy , Plan ning , and Ope ratio n Sunil Chopra Kellogg Schoo l of Manag ement Northwestern University Peter Meindl Stanfo rd University --------Prentice I-I all Uppe r Saddl e River , New Jersey ·--· PEAR SON -- · - · - - - "ibrary of Congress Cataloging-in-Publication Data :::hopra, Sunil Supply chain management: strategy, planning, and operation I Sunil Chopra, >eter Meind!.-3rd ed. p. em. Includes bibliographical references and index. ISBN: 0-13-208608-5 1. Marketing channels-Managemen t. 2. Delivery of goods-Management. i. Physical distribution of goods-Management. 4. Customer servicesvfanagement. 5. Industrial procurement. 6. Materials management. I. vfeindl, Peter II. Title. HF5415.13.C533 2007 658.7-dc22 2006004948 \VP/Executive Editor: Mark Pfaltzgraff ii:ditorial Director: Jeff Shelstad ;enior Project Manager: Alana Bradley E:ditorial Assistant: Barbara Witmer Vledia Product Development Manager: Nancy Welcher \VP/Executive Marketing Manager: Debbie Clare Vlarketing Assistant: Joanna Sabella ;enior Managing Editor (Production): Cynthia Regan flroduction Editor: Melissa Feimer flermissions Supervisor: Charles Morris Vlanufacturing Buyer: Michelle Klein Vlanager, Print Production: Christy Mahon Composition/Full-Service Project Management: Karen Ettinger, TechBooks, Inc. flrinter/Binder: Hamilton Printing Company Inc. fypeface: 10/12 Times Ten Roman :::redits...
Words: 138607 - Pages: 555
...THIRD EDITI ----- --·-- --·-- - - -- - O N -- SU PP LY CH AI N MA NA GE ME NT Stra tegy , Plan ning , and Ope ratio n Sunil Chopra Kellogg Schoo l of Manag ement Northwestern University Peter Meindl Stanfo rd University PEAR SON --------Prentice I-I all Uppe r Saddl e River , New Jersey ·--· -- · - · - - - "ibrary of Congress Cataloging-in-Publication Data :::hopra, Sunil Supply chain management: strategy, planning, and operation I Sunil Chopra, >eter Meind!.-3rd ed. p. em. Includes bibliographical references and index. ISBN: 0-13-208608-5 1. Marketing channels-Managemen t. 2. Delivery of goods-Management. i. Physical distribution of goods-Management. 4. Customer servicesvfanagement. 5. Industrial procurement. 6. Materials management. I. vfeindl, Peter II. Title. HF5415.13.C533 2007 658.7-dc22 2006004948 \VP/Executive Editor: Mark Pfaltzgraff ii:ditorial Director: Jeff Shelstad ;enior Project Manager: Alana Bradley E:ditorial Assistant: Barbara Witmer Vledia Product Development Manager: Nancy Welcher \VP/Executive Marketing Manager: Debbie Clare Vlarketing Assistant: Joanna Sabella ;enior Managing Editor (Production): Cynthia Regan flroduction Editor: Melissa Feimer flermissions Supervisor: Charles Morris Vlanufacturing Buyer: Michelle Klein Vlanager, Print Production: Christy Mahon Composition/Full-Service Project Management: Karen Ettinger, TechBooks, Inc. flrinter/Binder: Hamilton Printing Company Inc. fypeface:...
Words: 141930 - Pages: 568
...9-803-096 REV: MAY 9, 2005 ________________________________________________________________________________________________________________ Professor of Management Practice Myra Hart, Senior Lecturer Mich ael J. Roberts, and Research Associate Julia D. Stevens prepare d this case. This case draws upon portions of an earlier case, “Zipcar,” HB S No. 802-085 (Boston: Harvard Bu siness School Publishing, 2002), written by Professor Myra Hart and Research Associat e Wendy Carter. HBS cases are developed so lely as the basis for cl ass discussion. Cas es are not intended to serve as endorsements, sources of primary data , or illustrations of effective or ineffective management. Copyright © 2003 President and Fellows of Harvard College. To orde r copies or request permission to reproduce materials, call 1-800-545-7685, write Harvard Business School Publishing, Boston, MA 02163, or go to http://www.hbsp.harvard.edu. No part of this publication may be reproduced, stored in a retrieval system, us ed in a spreadsheet, or transmitted in any form or by any means—electronic, mechani cal, photocopying, recording, or otherwise—without the permission of Harvard Business School. MYRA HART MICHAEL J. ROBERTS JULIA D. STEVENS Zipcar: Refining the Business Model It was October 14, 2000, and Robin Chase was leaving yet another meeting with potential providers of capital for her fledgling venture, Zipcar. Chase was CEO and cofounder of the company, which she and Antje...
Words: 9735 - Pages: 39
...LINUX: Rute User’s Tutorial and Exposition Paul Sheer August 14, 2001 Pages up to and including this page are not included by Prentice Hall. 2 “The reason we don’t sell billions and billions of Guides,” continued Harl, after wiping his mouth, “is the expense. What we do is we sell one Guide billions and billions of times. We exploit the multidimensional nature of the Universe to cut down on manufacturing costs. And we don’t sell to penniless hitchhikers. What a stupid notion that was! Find the one section of the market that, more or less by definition, doesn’t have any money, and try to sell to it. No. We sell to the affluent business traveler and his vacationing wife in a billion, billion different futures. This is the most radical, dynamic and thrusting business venture in the entire multidimensional infinity of space-time-probability ever.” ... Ford was completely at a loss for what to do next. “Look,” he said in a stern voice. But he wasn’t certain how far saying things like “Look” in a stern voice was necessarily going to get him, and time was not on his side. What the hell, he thought, you’re only young once, and threw himself out of the window. That would at least keep the element of surprise on his side. ... In a spirit of scientific inquiry he hurled himself out of the window again. Douglas Adams Mostly Harmless Strangely, the thing that least intrigued me was how they’d managed to get it all done. I suppose I sort of knew. If I’d learned...
Words: 159689 - Pages: 639
...JUNIOR 1 S Y 2000 - 2 0 0 1 V o l . 20 N o . 1 C O N T E N FOR LOVE OF DIAMONDS These brilliant gems are not only for fashion but find many uses in other industries as well. CHEMISTRY: BUILDING BLOCKS OF MODERN CIVILIZATION Understand the significance of chemistry throughout man’s history. NUCLEAR CHEMISTRY: TOWARDS A SAFE ENERGY SOURCE Is nuclear technology a boon or bane of science? Read on. T S ib er s, De ar BB su bs cr ng ga zin e is ma ki Ba to Ba la ni ma e ma ga zin e. to yo ur fa vo rit lled so me ch an ge s a new section ca c g the changes is Amon s wi th sc ie nt ifi .” It de al “P se ud os ci en ce pt io ns th at an d mi sc on ce ve no tio ns , my th s, e. Al so , we ha pu la r at on e tim we re po ” se ct io n to “C yb er wo rld ex pa nd ed ou r ac tiv ity se ct io n. e a we b- lin ke d in cl ud wi ll th es e ch an ge s We ho pe th at re nc e stu di es mo ur sc ie he lp ma ke yo jo y! re fu n! En re le va nt an d mo Th e Ed ito r MEDICINE’S POTENT MIXTURES AND SOLUTIONS Chemistry plays a major role in our existence through important medical applications. R E G U L A R F E AT U R E S 3 Science & Technology News 5 Filipino Scientists and Inventors BOARD OF ADVISERS Violeta Arciaga, Jaime F. Bucoy Jose C. Calderon, Victoria V. Cervantes, Juanita M. Cruz, Belen P. Dayauon Medical Facts and Fallacies 9 Livelihood Technology / I’d Like to Know 10 Cyber World CONSULTANT ...
Words: 8787 - Pages: 36
...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
Words: 177674 - Pages: 711
...A CLINICIAN’S HANDBOOK Talking With Your Older Patient NAT I O NA L INS TITU TE O N AGING NATIONAL I NS TI TUTES OF HEA LTH DEPARTM EN T OF HEA LTH A ND HUMA N S ERV I CES Contents Foreword 1 1. Considering Health Care Perceptions “I’m 30 . . . until I look in the mirror.” 3 2. Understanding Older Patients “Tell me more about how you spend your days.” 6 3. Obtaining the Medical History “What brings you here today?” 13 4. Encouraging Wellness “I’d like you to try this exercise routine.” 19 5. Talking About Sensitive Subjects “Many people your age experience similar problems.” 23 6. Supporting Patients With Chronic Conditions “Let’s discuss living with . . .” 36 7. Breaking Bad News “I wish I had better news.” 40 8. Working With Diverse Older Patients “Cultural differences, not divides.” 44 9. Including Families and Caregivers “What would you like your family to know?” 48 10. Talking With Patients About Cognitive Problems “You mentioned having trouble with your memory.” 51 11. Keeping the Door Open “Effective Communication” 58 Publications At-a-Glance 60 Services At-a-Glance Tear-Off Card Foreword Good communication is an important part of the healing process. Studies find that effective physician-patient communication has specific benefits: patients are more likely to adhere to treatment and have better outcomes, they express greater satisfaction with their treatment, and they are less likely to bring malpractice suits. Research also shows that...
Words: 16913 - Pages: 68
...WHO Guidelines on Hand Hygiene in Health Care: a Summary First Global Patient Safety Challenge Clean Care is Safer Care a WHO Guidelines on Hand Hygiene in Health Care: a Summary © World Health Organization 2009 WHO/IER/PSP/2009.07 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable...
Words: 27087 - Pages: 109
...Kelly | McGowen | Williams C en ga Australia • Brazil • Japan • Korea • Mexico • Singapore • Spain • United Kingdom • United States ge Le ar ni ng BUSN BUSN BUSN 6, 6th Edition Kelly | McGowen | Williams © 2014 Cengage Learning. All rights reserved. Senior Project Development Manager: Linda deStefano Market Development Manager: Heather Kramer Senior Production/Manufacturing Manager: Donna M. Brown Production Editorial Manager: Kim Fry Sr. Rights Acquisition Account Manager: Todd Osborne en C Printed in the United States of America ga ge Le Compilation © 2013 Cengage Learning ISBN-13: 978-1-285-88034-1 ISBN-10: 1-285-88034-X Cengage Learning 5191 Natorp Boulevard Mason, Ohio 45040 USA ALL RIGHTS RESERVED. No part of this work covered by the copyright herein LL RIGHT th repro reprodu ted, s may be reproduced, transmitted, stored or used in any form or by any means electro graphic, electronic, or mechanical, including but not limited to photocopying, scann di recording, scanning, digitizing, taping, Web distribution, information networks, a or information storage and retrieval systems, except as permitted under o t Section 107 or 108 of the 1976 United States Copyright Act, without the prior writ written permission of the publisher. pro For product information and technology assistance, contact us at Cen Cengage Learning Customer & Sales Support, 1-800-354-9706 For permission to use material from this text or product, submit...
Words: 44673 - Pages: 179
